Bilateral macular hemorrhage after laser in situ keratomileusis

Graefes Arch Clin Exp Ophthalmol. 1999 Jul;237(7):611-3. doi: 10.1007/s004170050286.


Background: This is the first report of a bilateral submacular hemorrhage after LASIK surgery in an extreme myo pic patient. A 31-year-old man underwent bilateral surgery for correction of -16.75+0.75x70 degrees and -16.50+0.50x55 degrees.

Methods: Case report.

Results: One day after surgery the patient's uncorrected visual acuity was in the 20/50 range OU and by 17 days after surgery his visual acuity had declined to 20/200 range. Fundus examination showed multifocal subretinal macular and posterior pole hemorrhages. Fluorescein angiography showed some macular lesions compatible with lacquer cracks.

Conclusions: Preoperative and postoperative fundus examination is important to detect this phenomenon. Patients should be informed of this rare complication.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Fluorescein Angiography
  • Humans
  • Laser Therapy / adverse effects*
  • Macula Lutea / pathology*
  • Male
  • Myopia / surgery*
  • Ophthalmologic Surgical Procedures / adverse effects*
  • Postoperative Complications
  • Retinal Hemorrhage / pathology*
  • Visual Acuity